Oversees day-to-day adjudication operations and ensures a compliant operational environment.
Establishes and maintains reports that support the efficacy of each service authorization process activity.
Monitors encounter data submissions for accuracy and maintains documentation and troubleshooting processes to support data quality.
Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente. They are redefining aging in place and building engaged, fulfilled care teams to deliver personalized care.
Lead and manage daily prior authorization operations across all locations.
Oversee workload distribution and productivity; Track and mitigate revenue at risk.
Hire, train, coach, and develop authorization supervisors and authorization staff.
Metro Vein Centers specializes in state-of-the-art vein treatments. With over 60 clinics across 7 states, they deliver compassionate, results-driven care in a modern, patient-first environment.
Own end-to-end census integrity and member coverage continuity
Accountable for the design, performance, and scalability of enrollment and eligibility operations
Set the roadmap for process maturity, risk controls, audit readiness, and cross-functional operating model alignment
Habitat Health envisions a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. They are growing and looking for new team members who wish to join their mission of redefining aging in place.
Set and execute Medicare agency strategy, partnering with the GM of Healthcare and Strategy & Ops to define a 3-year plan, annual OKRs, and a GTM strategy that drives 5–7x enrollment growth by 2026
Build and scale the brand and growth engine, partnering with Marketing to establish the agency brand and drive top-of-funnel demand across digital, advisor-assisted, and partner channels
Lead cross-functional operations and execution, aligning product, operations, and growth roadmaps while scaling efficiently through automation and AI
Propel empowers low-income Americans by simplifying access to government benefits with modern technology. They are a passionate team of 100 Propellers, all working to help their users get through the month, every month.